Virginia Regulatory Town Hall
Health and Human Resources
Department of Medical Assistance Services
Board of Medical Assistance Services
Mandate 146

Mandate Information
Mandate Title:
Prospective Reimbursement for Rehab Agencies
Purpose of legislation
The purpose of this action is to replace rehab agencies' retrospective cost baisis to a prospective methodology based on a ceiling of 112% of weighted median cost of all agencies. Rehab agencies operated by CSBs will not be included.
Legislation mandating a change
Budget item mandating a change Item 326 (2004)
VAC chapters to be amended
12 vac 30 - 80 : Methods and Standards for Establishing Payment Rate; Other Types of Care
Associated Regulatory Actions
Action 1288: Limit Outpatient Hosp Reimbursement to 80% of Allowable Cost; Establish Prospective Reimbursement for Rehab Agencies
Latest Stage: Final
Deadline for the regulation to become effective 1/4/2005
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